Please provide
the name(s) of the relative(s) or friend(s) you want to receive any
specific item of your real or personal property and describe the real or
personal property (i.e., jewelry, stamp collection, etc.) you would like
to leave that person:
Recipient
Relationship
Property
If additional
itemizations are required, use the comments section below.
Please provide
the name(s) of the relative(s) or friend(s) you want to receive the
remainder of your real and personal property:
Recipient
Relationship
Portion to each
(leave blank if equal)
If additional itemizations are required, use the
comments section below.
Please Provide
the name(s) of the relative(s) or friend(s) you want to distribute your
real and personal property according to your Will and otherwise
administer your probate estate (the Executor of your estate):
Primary
Relationship
Alternate
Relationship
Please provide
the name(s) of the relative(s) or friend(s) you want to love and care
for your minor children in the event you pass away before your children
reach the age of eighteen (18) years old (Guardian(s) of your minor
children):
Primary
Relationship
Alternate
Relationship
Please provide
the name(s) of the relative(s) or friend(s) you want to make health care
decisions for you in the event you are unable to communicate (i.e., if
you were unconscious) such decisions for yourself (Health Care Power of
Attorney):
Primary
Relationship
Alternate
Relationship
Please state
whether you would want to be placed or maintained on life-sustaining
treatment to prolong your life in the event you are in a terminal
condition or in a permanently unconscious state (Living Will Declaration):
James L. Burns 24441 Detroit Road, Suite 300, Westlake, Ohio 44145
Phone: (440) 575-1100 -- Fax: (440) 871-5182
Email info@jameslburns.com